• BMJ open · Aug 2021

    Review

    Scope, context and quality of telerehabilitation guidelines for physical disabilities: a scoping review.

    • Krithika Anil, Jennifer A Freeman, Sarah Buckingham, Sara Demain, Hilary Gunn, Ray B Jones, Angela Logan, Jonathan Marsden, Diane Playford, Kim Sein, and Bridie Kent.
    • School of Health Professions, Peninsula Allied Health Centre, University of Plymouth, Plymouth, UK krithika.anil@plymouth.ac.uk.
    • BMJ Open. 2021 Aug 12; 11 (8): e049603.

    ObjectiveTo identify the available guidance and training to implement telerehabilitation movement assessments for people (adults and children) with a physical disability, including those recovering from COVID-19.DesignRapid scoping review.Included Sources And ArticlesPubMed, CINAHL, PsychInfo, Cochrane, Embase, Web of Science, PEDro, UK Health Forum, WHO, National Archives and NHS England were searched using the participant-concept-context framework from 2015 to August 2020. Primary studies that recruited individuals with physical disabilities and guidance documents aimed at providers to implement movement-related telerehabilitation were included.Results23 articles (11 primary research studies, 3 systematic reviews and 9 guidance documents) were included out of 7857 that were identified from the literature search. Two main issues were found: (1) telerehabilitation guidance (from both research studies and guidance documents) was not specific to movement-related assessment and (2) most primary research studies provided neither guidance nor training of movement-specific assessment to practitioners. Of the COVID-19 related guidance, two articles reported COVID-19 management that only referred to identifying COVID-19 status without references to specific movement-related guidance.ConclusionsTelerehabilitation guidance and training have existed pre-COVID-19, yet the lack of specific movement-related information and provider support is surprising. This gap must be addressed to optimise effective implementation of remote assessments for those with physical disabilities.Review RegistrationOpen Science Framework: osf.io/vm6sp.© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

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